Document Detail


Ectopic IUD complicating pregnancy. A case report.
MedLine Citation:
PMID:  11842789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: For the most part, intrauterine devices (IUDs) have a low complication rate and minimal side effects. However, one of the most common reasons for contraceptive failure while using an IUD is its translocation or extrauterine migration. Pregnancy complicated by translocation or an ectopic IUD can present a formidable clinical challenge. CASE: A 23-year-old woman, gravida 3, para 2, using a copper-7 IUD for contraception, presented at 7 weeks' gestation. Transvaginal sonogram confirmed the presence of a fetal pole with cardiac activity; however, the IUD was not detectable. An anteroposterior roentgenogram showed 90 degrees counterclockwise rotation of the IUD relative to the normal position. Laparoscopy was performed at 14 weeks. The IUD was extrauterine, buried in omental adhesions attached to the anterior abdominal wall. The IUD was dissected free and removed without difficulty. The remainder of the pregnancy was uncomplicated. CONCLUSION: Uterine perforation is a recognized and potentially hazardous complication of IUD use. Localization of a lost IUD should follow an organized and systematic approach utilizing an assortment of radiologic and operative techniques. We report the third known case utilizing laparoscopy to remove an ectopic IUD complicating early pregnancy. Laparoscopy, even during pregnancy, has proven to be a safe and simple tool for managing a variety of surgical conditions.
Authors:
James S Dunn; Marc J Zerbe; Joan L Bloomquist; R Mark Ellerkman; Alfred E Bent
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  47     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-02-12     Completed Date:  2002-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  57-9     Citation Subset:  IM    
Affiliation:
Division of Urogynecology, Department of Gynecology, Greater Baltimore Medical Center, 6569 North Charles Street, PPW, Suite 307, Baltimore, MD 21204, USA. jdunn@gbmc.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Device Removal / methods
Female
Follow-Up Studies
Foreign-Body Migration / complications*
Humans
Intrauterine Devices / adverse effects*
Laparoscopy / methods
Pregnancy
Pregnancy Complications / diagnosis,  etiology*
Pregnancy Outcome
Risk Assessment
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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